Individual
JENNY DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 523-8461
Mailing address
710 VALE VIEW DR, VISTA, CA 92081-6725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61366165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168216
—
WA
Enumeration date
03/24/2020
Last updated
11/27/2023
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